On-Site Power Survey
If your company spends more than $80,000/month
on energy expenses, complete our following
On-Site Power & Energy Survey
for an initial, no-cost consultation and review.
Copy and paste this form into a word document and E-mail completed form to: info@cogeneration.net
YES, Renewable Energy Institute, please contact us about our facility’s energy and power requirements for possible cogeneration, trigeneration, renewable energy installation. Our completed form is enclosed for your review.
Your name: _______________________________________
Title: _________________________
Company name: ____________________________________
Company address: __________________________________
City: _______________________ State: ______________ Zip code: ___________
Telephone: __________________ ext. ________
Fax: _______________________
Best time to call for us to call: ______________
1. What is the nature of your business or operation? If manufacturing, what are the products manufactured at this location?
2. Do you now or will you soon require steam at your facility? __________ If yes, how much steam is required? ____________ MMBtu @ ________ psi
3. How many hours per week does your company operate? _______ hours/week
4. How many days per week does your company operate? _____ days/week
5. Do you have natural gas available? _____________ If yes, how far from your facility is the natural gas main or pipeline located? ____________
6. What is your facility’s annual electric bill? $____________
7. Have your company’s electric rates/bills been increasing? __________ If yes, please answer the following: Our company’s electric rates/bills have increased by $____________ over the past 12 months.
8. Has your company experienced any blackouts, brownouts or other power interruptions? ________ If yes, please answer the following: Our company has experienced __________ black-outs/power interruptions over the past 12 months?
9. If you have experienced power interruptions, has your company lost money as a direct result of the power interruption(s)? ___________ If yes, please answer the following: Our company has lost $______________ per interruption or $______________ over the past 12 months.
10. Does your company use more than 2000 Kwh/hr electrical power? _________ Indicate the present amount here: _________________ Indicate FUTURE (planned) Kwh/hr electrical power requirements here: _________________
11. Does your company plan on any remodeling, expansion, construction or other changes to your existing facility? __________
Electrical requirements
- Average demand during operating hours
__________ kW - Minimum demand during operating hours
__________ kW
- Peak demand during operating hours
__________ kW - Annual electricity consumption
__________ kWh
- Voltage Requirements: ____________________
Thermal requirements
- Form of thermal energy use
__________ steam __________ hot water __________ chilled water __________ other (specify)
- What is the primary application for thermal or (waste heat recovery) energy at the plant?________________________________________________________
- Average demand during operating hours
lbs/hr, Btu/hr, Btu fuel/hr (circle correct units)
- Minimum demand during operating hours
lbs/hr, Btu/hr, Btu fuel/hr
- Peak demand during operating hours
lbs/hr, Btu/hr, Btu fuel/hr
- Required conditions
lbs/hr, Btu/hr, Btu fuel/hr
Operating conditions
- Nominal operating hours per year
- Number of hours per year that electrical and thermal loads are simultaneously at or above average values
Energy rates
- Average retail electric rate
cents/kWh
- Peak demand charge (if applicable)
$/kW/month
- Fuel price
$/mmBtu, $/therm, $/gal (circle appropriate units)
Existing Site Conditions
- Is there sufficient floorspace (inside or outside for an on-site power generation, cogeneration or trigeneration power plant installation?*)
Yes No
- Is adequate fuel accessible/available for an on-site power generation, cogeneration or trigeneration installation?
Yes No
- Are there specific environmental or zoning restrictions that may preclude an on-site power generation, cogeneration or trigeneration installation?*
Yes No
Please tell us how you found Cogeneration Consultants:
Advertisement _______________ Link from other site _____________
Article _______________ Other _____________
Search engine _______________
Please add any additional information or comments that may help our engineering team provide you with the best possible energy & power solutions for your company.
